Vision Source of Mt Olive LLC
NPI 1063766202 · Optometrist · Budd Lake, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vision Source of Mt Olive LLC is a Optometrist organization in Budd Lake, NJ (NPI 1063766202).
Provider details
- NPI number
- 1063766202
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Siegel, President(862) 258-3200
- License
- 27OA00511800 (NJ)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-11-08
- Last updated
- 2012-11-15
Frequently asked questions
- What is Vision Source of Mt Olive LLC's NPI number?
- Vision Source of Mt Olive LLC's National Provider Identifier (NPI) is 1063766202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vision Source of Mt Olive LLC?
- Vision Source of Mt Olive LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Vision Source of Mt Olive LLC located?
- Vision Source of Mt Olive LLC's practice location on file with NPPES is 135 Route 46 East, Budd Lake, NJ 07828.
- What is Vision Source of Mt Olive LLC's phone number?
- The practice phone number listed in the NPPES registry for Vision Source of Mt Olive LLC is (862) 258-3200.
- Does Vision Source of Mt Olive LLC accept Medicare?
- Vision Source of Mt Olive LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vision Source of Mt Olive LLC?
- The authorized official listed on Vision Source of Mt Olive LLC's NPPES record is Michael Siegel, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vision Source of Mt Olive LLC's NPI active?
- Yes — Vision Source of Mt Olive LLC's NPI (1063766202) is active in the NPPES registry as of the last update on 2012-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.